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ARPLICATIa J FOR CONSTRUC7l �N PERMIT � <br /> TO BE COMPLETED iN BLACK INK—PLEASE PRINT I <br /> �HEA7ING SVSTEAt: J GAS J ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> oNricn M�iIAD[IRrss cilr I�P �'M�ME <br /> �--�c._. r• �;c-��`c�.cC.�_y� '� �..c �\�: �i-T�e-=�cl� ZG?;�� 1 <br /> 1fN�N1 M�4.�DDf1E55 ��T' _���-��_P����� <br /> •RC�o16tOi1UCSIGNCP MM�DDflC55 G1Y J P�E <br /> GIN[F�LLONiF1CtOP YNlA00RE55 CIiY IIV PIqNE Si�tElqENS[• <br /> I <br /> .��o�w�ceicor��necroa n•eiuooness a.v nv r�wr�r Ci�G��'?�'`O — :(.'.� <br /> � . _ �\ (�l`�_��.`�. v -aC�� "�Zv�.��.0��,1, q`�i01> p <br /> r�o+mwcca+*n�non� �u�un�on� utv z�n n�nr,¢ srnr ucexsc• <br /> ci+s+.x woaK <br /> N[W AODIIi�;, ALTEfiATION FEPAIF DEMOUTION WOODSTOVEFRPLINSERT BUILDINGRELOCATION <br /> cn:*�c�arnsa��xo���onew <br /> La�m�crvn¢EMwp+n '— C�C. � f- ���•��L�� S�i��C"�S1 II <br /> n[scnmewone�qosauencraorwenrvav[o `qS� .�:`„��^+�. <br /> . A � <br /> .-c � <br /> rnoeosmwcanmm�vc �2� i HEREBV CERTIfY THA1 I HAVE READ AND E%AMINED THIS I <br /> � T � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.AlL <br /> ita�iocuumiror�areov[qrvisraKme[�owOnetii.cNrounmwcs �'A���SIONSOPLA\YSANDORDINANCESGOVERNINGTHISTYFEOF <br /> ].� WORN WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN OR <br /> �o*__�\':�. �+�a« ���� ���c'-T� NDi. THE GPANiING OF A PEflMIT DOES NOT PRESUME TO GN[ <br /> � AUTMORITV TO VIOLATE OR CANCEL THE PROVISIONS OF AN� <br /> O7HEF STATE OF LOCAL LAW RCGULATING CONSTRIICTIINJ UR TME <br /> - PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORRED BV THE <br /> OWNEF OF THIS PROPEflT\'lU PERFORM THE WORK POR WHICN � <br /> APPUCATION IS MADE AND I COMPLY WITH THE STATE I <br /> CONTRACTCRS LA1Y 1B 27 RCW AND 296200 WAC <br /> / �' (� <br /> % C El''�ii' ���"9CLCGc. �����-1� <br /> neo�ecuncecss .,. `a�� �`�� _ <br /> \�Sr ' � ' <br /> PUIMBIN4 � � MECHIINIL�L <br /> NO. iYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> W�TER CLOSET�1011.ET) A�C—A NNDLG UNITS—M P <br /> BFTMiUB FOR�'_JniqS1576tAS—BT.U. <t7�6p1 _ <br /> LAVATORV�WASHBASIN) --� UNITNE�TFRb GIU. M <br /> SMOWER GLOT4ESDRVERS <br /> NITCHEN SINH 8 DISP VFNTILATION FAN <br /> DISHWASMER 7ANGE MOOD <br /> LAl1NDR�T(iAY WATER HEATER <br /> CIOTMES WASMER WOOCI STOVE <br /> URINAL METAL FIREALACE 8 C�IMNEV <br /> DRINNING FOUNTAM FlREPLACF INSERT _ <br /> F1.00�Dfl�IN HEAT PUMI' <br /> BACNFLOW PPEVENTERS _,'�" _ GAS PIPING _�C: <br /> ROOF OFAINS—RAIN�EADERS EXHAUST FAN <br /> SINK�SERVICE—BAR.ETC.� _ _ — <br /> SUB TOTAL S SUB TOTAL S _1�� <br /> PERMIT S PERIAIT b /S'� <br /> TOTAL FEE E TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> ir�o�usnn+c. ar�ase+eecn smescre�ex r�enortcruu acn rcE n¢e�nrrvo <br /> 3A�/o� <br /> Fv �or�t �o�neu v�u.msi*[ FEES V�WATION FEE <br /> O�tl01NG <br /> ��^I W CONR�IIONMII IYVf IX[ON51�GN0. n�wq xo dCaie ar.,r�b — --- <br /> '�'d° FLIIMOING <br /> `+.'I.(A BIDG NO Of SLOFIES B�5[M[hi MI:CNANIG�I <br /> a�CUC�NCYtOAp iIRESPRNqkR5RE0D N[�LMlnAneLiON PUDIiIONALPIANGNfCN <br /> SPRINNL[fl <br /> nUbON fU85PI1MKlCPS � <br /> STAiE BULLDiNG SURGNAFGE <br /> i4un�m �uwnrvHonom CITY�FEVEflETT aUeucwonrts <br /> LOCIIL SIILES <br /> TRX CODE IS 3105 TOT�� <br />